NPI | 1487897898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 69338) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: CT 69338) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2021-10-19 |